Selective Conservatism in Trauma Management: A South African Contribution
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Trauma in South Africa has been termed the malignant epidemic . This heritage was the result of a violent colonial legacy  which spawned the apartheid system of injustice and the struggle against it [3,4] The Apartheid regime created overcrowding, unemployment, social stagnation, and the disruption of normal family life. These were the catalysts for the incredible amount of criminal and interpersonal conflict in South Africa over the last 50 years. African townships such as Soweto in Johannesburg and Umlazi in Durban were crime-ridden ghettoes where the apartheid police were more interested in fueling the “black on black” violence rather than trying to curb it. Baragwanath (Chris Hani-Baragwanath) and King Edward the VIII Hospital in Durban were the “trauma care epicenters” on the fringes of these huge urban conurbations. Both were designated black hospitals and both were underfunded and dilapidated. Even the architecture was similar, with prefabricated, poorly ventilated...
KeywordsDamage Control Stab Wound Esophageal Injury Pancreatic Trauma Firearm Injury
The authors thank the “ordinary people” victims of apartheid who became our patients and allowed us to develop these surgical skills and write about them. The authors have had the privilege to work with individuals who ran with the concept in the early years, built on it, and allowed us to continue to run with it. They are Professors Baker, Angorn, Robbs, and Mr. Luvuno, from Durban, and Professors Demetriades, Pantanowitz, Mr. Stein, and Mr. Rabinowitz from Johannesburg. These are not the only institutions or individuals dealing with trauma in South Africa, and others in the country have made many significant contributions to the management of the trauma victim in different settings and we acknowledge their contributions.
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